Healthcare Provider Details

I. General information

NPI: 1518382142
Provider Name (Legal Business Name): NGOZI OKEKE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/18/2014
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1018 E 223RD ST
BRONX NY
10466-4814
US

IV. Provider business mailing address

1018 E 223RD ST
BRONX NY
10466-4814
US

V. Phone/Fax

Practice location:
  • Phone: 917-355-7044
  • Fax:
Mailing address:
  • Phone: 917-355-7044
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number750460-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: